trauma table

Question 1

How to do direct colour testing?

Answer 1

View the teeth directly with and without light.

Question 2

What does normal colour mean in direct colour testing?

Answer 2

Healthy.

Question 3

What does grey colour mean in direct colour testing?

Answer 3

pulp necrosis
endo sequuelae if previous RCT

Question 4

What does pink colour mean in direct colour testing?

Answer 4

internal inflammatory resorption
or cervical resorption

Question 5

How to do trans colour testing?

Answer 5

Shine light through the tooth and view it in the mirror.

Question 6

What are you looking for in the trans colour test?

Answer 6

Incomplete cracks and craze lines.

Question 7

How to do alveolar tenderness test?

Answer 7

Palpate with fingertip.

Question 8

What are the outcomes of the alveolar tenderness test?

Answer 8

may identify lumps or swelling
tenderness indicated infection

Question 9

What may tenderness indicate in the alveolar tenderness test?

Answer 9

Infection.

Question 10

How to test for a sinus?

Answer 10

Review mucosa in good lighting.

Question 11

What may a sinus indicate?

Answer 11

infection

Question 12

What should you do at the same time as TTP testing?

Answer 12

Percussion note.

Question 13

How to do TTP and percussion note?

Answer 13

tap mirror handle on incisal edge

Question 14

What are the outcomes of TTP and percussion note?

Answer 14

tenderness = apical pathology
high pitched “cracked plate” sound = ankylosis

Question 15

What may tenderness from TTP indicate?

Answer 15

Apical pathology.

Question 16

What may an abnormal percussion note indicate?

Answer 16

An abnormal sound may indicate ankylosis (high pitched). But be wary of teeth with large composite restorations which sound slightly different to healthy tooth.

Question 17

How to do mobility testing?

Answer 17

Gently test the tooth with either 2 blunt instruments (handles) or with one instrument and 1 finger.

Question 18

What does abnormally loose mobility indicate?

Answer 18

Abnormally loose could be as a result of infection, resorption or a root fracture.

Question 19

What is no mobility associated with?

Answer 19

Ankylosis.

Question 20

What is residual mobility associated with?

Answer 20

Residual mobility from luxation/subluxation may be observed if the review is shortly after the accident.

Question 21

How to do EPT testing?

Answer 21

Place EPT tip with toothpaste on dry teeth incisal edge. Relocate if large restoration present.

Question 22

If a tooth doesn’t respond to EPT, what does this tell us?

Answer 22

Less reliable test and assesses nerve rather than pulpal status. A tooth may not respond but still have an intact blood supply.

Question 23

How to do ECL?

Answer 23

Place cold stimulus on labial aspect of tooth.

Question 24

What does no response from ECL tell us?

Answer 24

Less reliable test and assesses nerve rather than pulpal status. A tooth may not respond but still have an intact blood supply.

Question 25

What guidelines would you check to know the answer to 'How often would you take radiographs and when would you next review them?'

Answer 25

IADT.

Question 26

What radiographic signs would indicate ongoing vitality?

Answer 26

Absence of signs of pathology, continued root development.

Question 27

what does yellow/ brown indicate in direct colour test

Answer 27

reactionary dentine

Question 28

what are the tests in a trauma review

Answer 28

direct colour trans colour alveolar tenderness sinus TTP and percussion note mobility EPT ECL